摘要
目的探讨前列腺增生术后排尿困难的原因和治疗方法。方法回顾52例前列腺术后排尿困难患者的诊断和处理。结果原因主要有膀胱颈狭窄、神经性膀胱功能障碍、腺体残留或复发、尿道狭窄。手术治疗45例,手术成功率100％。结论术前筛选出神经性膀胱功能障碍患者、加强手术技巧和术后处理是有效防止术后排尿困难的关键,经尿道手术是首选治疗方法。
Objective To explore the causes and treatment of urination disorders after prostatectomy for benign prostatic hyperplasia (BPH). Methods Fifty-two cases with urination disorders after prostatectomy for BPH were reviewed. Results The causes of urination disorders were bladder outlet stricture,neuropathic bladder dysfunction,residual and recurrent adenoma,urethral stricture. Fourty- five cases were surgically managed, and the success rate was 100%. Conclusions Correct presurgical diagnosis, adequate surgical treatment and postsurgical management are key points in preventing postsurgical diffculty of urination. Transutethral surgery is most favorable treatment choice for the patients.
出处
《中国医师进修杂志》
2005年第S1期4-5,共2页
Chinese Journal of Postgraduates of Medicine
关键词
良性前列腺增生
前列腺切除术
排尿障碍
Benign prostatic hyperplasia
Prostatectomy
Urination disorders
